Individual provider Active NPI

Charlene Veronica Carr

  • Clinical Social Worker
  • Daniel Island, SC
National Provider Identifier
1255219481
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13319 Issued in SC
Practice address
232 Beresford Creek St
Daniel Island, SC 29492-7518
Phone
(203) 260-8769
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13319 SC Primary

Addresses

Primary practice location

232 Beresford Creek St
Daniel Island, SC 29492-7518

Mailing address

232 Beresford Creek St
Daniel Island, SC 29492-7518
Phone (203) 260-8769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222000937 SC Practitioner - Clinical Social Worker 7911492541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Behavioral Health Services of South Carolina PCGroup PAC ID 1759780380, 6 clinicians

Practice addresses (Care Compare)

220 N Main St
Suite 500
Greenville, SC 29601-2129
Phone (800) 275-3243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13319SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Services of South Carolina, P.C. Clinical CurrentSince Nov 24, 2025 Accepting new patients

Locations

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1255219481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BERESFORD CREEK ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927518",
            "telephone_number": "203-260-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BERESFORD CREEK ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927518",
            "telephone_number": "203-260-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "CHARLENE",
        "middle_name": "VERONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

Verify at the official NPI Registry.